| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.73 | $18.73 | $343.00 | |
Aetna
| Professional | $18.73 | $19.47 | $330.00 | |
Ambetter
| Professional | $22.50 | $22.50 | $33.29 | |
Christus
| Facility | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $19.00 | $24.00 | $42.89 | |
United
| Professional | $27.49 | $34.07 | $63.08 |